Provider Demographics
NPI:1114132099
Name:BERTHELOT, CINDY NOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:NOEL
Last Name:BERTHELOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 273144
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-3144
Mailing Address - Country:US
Mailing Address - Phone:281-480-7272
Mailing Address - Fax:281-480-7273
Practice Address - Street 1:2565 BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-1521
Practice Address - Country:US
Practice Address - Phone:281-480-7272
Practice Address - Fax:281-480-7273
Is Sole Proprietor?:No
Enumeration Date:2007-05-13
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7042207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology